Most Relevant Information
Provider Data
| NPI Number: | 1003328394 |
| Provider Name: | KELSEY LYNN WOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2017 |
| Last Updated: | 10/26/2017 |
Provider Practice Location
1715 AVENUE L
ANSON
TX
795016117
Practice Location Phone/Fax
| Phone: | 9034264866 |
| Fax: |
Provider Mailing Location
1715 AVENUE L
ANSON
TX
795016117
Provider Mailing Phone/Fax
| Phone: | 9034264866 |
| Fax: |